ANNA E LAWRENCE OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928576

License Status

INACTIVE

Business

First Name

ANNA

Middle

Last Name

LAWRENCE

Suffix

Business Name

ANNA E LAWRENCE OD

Original Issue Date

04/19/2002

Effective Date

03/16/2004

Expiration Date

03/31/2004

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005